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Aug 14, 2009

NURSING TEST TAKING STRATEGY V: G. Steps of the Nursing Process - ANALYSIS

V: Questions that Require Prioritizing

4. ANALYSIS

a. Analysis questions are the most difficult questions because they require understanding of the principles of physiological responses and require interpretation of the data based on assessment.

b. Analysis questions require critical thinking and determining the rationale for the therapeutic interventions that may be addressed in the question.


c. Analysis questions may address the formulation of a nursing diagnosis and the communication and documentation of the results of the process of analysis.

PRACTICE QUESTION: The Nursing Process – Analysis

A nurse is reviewing the laboratory results of an infant suspected of having hypertrophic pyloric stenosis. Which of the following laboratory findings would the nurse most likely expect to note in this infant?

1. A blood pH of 7.50

2. A blood pH of 7.30

3. A blood bicarbonate of 22 mEq/L

4. A blood bicarbonate of 19 mEq/L

Answer: 1

Test-Taking Strategy: An understanding of the physiology associated with hypertrophic pyloric stenosis and that metabolic alkalosis is likely to occur as a result of vomiting is necessary. Next, the nurse must know which laboratory findings would be noted in this acid-base balance condition. Analysis of this data will direct you to the correct option. Remember analysis is the second step of the nursing process.


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